This chapter provides detail description of maternal mortality and its causes in RIMS, Manipur. Maternal mortality ratio in Manipur, maternal mortality rate in Manipur, magnitude of the problem, causes of maternal deaths in Manipur, steps to reduce MMR at RIMS; strategies to reduce maternal deaths in Manipur are described in detail. 4 tables are included to highlight maternal deaths, causes of deaths, and admission to death interval. 13 references are given at the end of chapter for further reading.